Individual provider Active NPI

Robert Alan Wilhelm Jr.

  • Orthopedic Physical Therapist
  • Ardmore, PA
National Provider Identifier
1447680889
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209
Phone
(484) 297-6491
Fax
(610) 896-7218
NPI assigned
Nov 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023225 PA
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209

Mailing address

120 W Germantown Pike Ste 100
Plymouth Meeting, PA 19462-1420
Phone (610) 270-0370

Other practice location 1

623 S Chester Rd
Swarthmore, PA 19081-2315
Phone (610) 543-1201

Other practice location 2

623 S Chester Rd
Swarthmore, PA 19081-2315
Phone (610) 543-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125001680 PA Practitioner - Physical Therapist in Private Practice 6204195936 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

1001 Baltimore Pike
Suite 111
Springfield, PA 19064-2852
Phone (610) 541-2480

101 N Monroe St
FL 2
Media, PA 19063-3037
Phone (484) 444-0135

110 Ardmore Ave
Ardmore, PA 19003-1339
Phone (484) 498-8299

1120 W Township Line Rd
Suite 110
Havertown, PA 19083-4930
Phone (267) 281-5253

1558 Paoli Pike
West Chester, PA 19380-6123
Phone (267) 529-0050

331 Wilmington W Chester Pike
Glen Mills, PA 19342-8210
Phone (610) 558-5866

3400 Lancaster Ave
Philadelphia, PA 19104-4964
Phone (215) 662-0397

3537 W Chester Pike
Newtown Square, PA 19073-3701
Phone (610) 723-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023225PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Dec 18, 2017 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients

Locations

120 E Lancaster Ave
Ste 205
Ardmore, PA 19003
Phone (484) 297-6491

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1120 W Township Line Rd
Ste 110
Havertown, PA 19083
Phone (267) 281-5253

575 Horsham Rd
Unit B16
Horsham, PA 19044
Phone (215) 364-5893

930 Town Center Dr
Ste G10
Langhorne, PA 19047
Phone (215) 750-3332

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

101 N Monroe St
#2
Media, PA 19063
Phone (484) 444-0135

120 Pheasant Run
Newtown, PA 18940
Phone (215) 944-6031

157 Railroad Dr
Warminster, PA 18974
Phone (215) 987-3677

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447680889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PIKE STE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621420",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LANCASTER AVE STE 205",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033209",
            "telephone_number": "484-297-6491",
            "fax_number": "610-896-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 S Chester Rd",
            "address_purpose": "LOCATION",
            "city": "Swarthmore",
            "state": "PA",
            "postal_code": "190812315",
            "country_code": "US",
            "telephone_number": "610-543-1201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 S Chester Rd",
            "address_purpose": "LOCATION",
            "city": "Swarthmore",
            "state": "PA",
            "postal_code": "190812315",
            "country_code": "US",
            "telephone_number": "610-543-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023225",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.